Patient Safety Attitudes Research Articles

Improving Patient Safety Culture During the COVID-19 Pandemic in Taiwan

Background and AimPatient safety culture attitude is strongly linked to patient safety outcomes. Since the onset of the COVID-19 pandemic in early 2020, pandemic prevention has become the priority of hospital staff. However, few studies have explored the changes in patient safety culture among hospital staff that have occurred during the pandemic. The present study compared the safety attitudes, emotional exhaustion (EE), and work–life balance (WLB) of hospital staff in the early (2020) and late (2021) stages of the COVID-19 pandemic and explored the effects of EE and WLB on patient safety attitudes in Taiwan.Materials and MethodsIn this cross-sectional study, the Joint Commission of Taiwan Patient Safety Culture Survey, including the six-dimension Safety Attitudes Questionnaire (SAQ) and EE and WLB scales, were used for data collection.ResultsThis study included a total of 706 hospital employees from a district hospital in Taipei City. The respondents' scores in each SAQ sub-dimension (except for stress recognition) increased non-significantly from 2020 to 2021, whereas their EE and WLB scores improved significantly (P < 0.05 and P < 0.01, respectively). The results of hierarchical regression analysis indicated that although a respondent's WLB score could predict their scores in each SAQ sub-dimension (except for stress recognition), EE was the most important factor affecting the respondents' attitudes toward patient safety culture during the later stage of the COVID-19 pandemic.ConclusionIn the post-pandemic, employees' attitudes toward safety climate, job satisfaction, and perception of Management changed from negative to positive. Additionally, both EE and WLB are key factors influencing patient safety culture. The present study can be used as a reference for hospital managers to formulate crisis response strategies.

Patient Safety Perception and Attitude Of Health Workers and Patients: A Case Of Education and Research Hospital

Sağlık hizmetlerinde kaliteli hizmet beklentisi her geçen gün artmaktadır. Sağlık hizmetlerinde tedavi ve bakım kalitesinin yanı sıra kalite ve hasta güvenliğini sağlamak da giderek önem kazanan ve üzerinde çalışılan bir konu haline gelmiştir. Bu çalışmada, özel eğitim araştırma hastanesi ile kamu eğitim araştırma hastanesi arasında sağlık çalışanları ve hastaların hasta güvenliğinin tıbbi hatalar ile ilgili tutum ve algılarının karşılaştırılması amaçlanmıştır. Kesitsel tipteki bu araştırmada veriler, İstanbul ilinde bulunan kamu eğitim araştırma hastanesi ve özel eğitim araştırma hastanesinde görev yapan toplam 1205 sağlık çalışanı ve bu hastanelerden hizmet alan 581 hasta ile Nisan-Temmuz 2017 tarihleri arasında toplanmıştır. Araştırmamız Sağlık Çalışanı Hasta Güvenliği ve Toplum Hasta Güvenliği Anket Formu olmak üzere iki veri toplama aracı kullanılarak sağlık çalışanları ve hastalara yapılmıştır. Araştırmamızda verilerin analizinde tanımlayıcı istatistikler ki- kare testi, t testi kullanılmıştır. Sağlık çalışanlarının %60,24’ü, hastaların %53,7’si kadın, çalışanların %28,1’i 33-40, hastaların %28,7’si 41-48 yaş aralığındadır. Araştırmamıza katılan sağlık çalışanlarının %33,9’u hemşire, %25,8’i hekim, %11,5’i temizlik personellerinden oluşmaktadır. Araştırmamızda sağlık çalışanları tıbbi hataları önlemede %97,4 ile eczaneden ilaç alınırken reçetedeki ilaçların aynısının verildiğinden emin olunmasını etkili bulmuşlardır. Hastaların %99,8’i yazılan reçetenin okunaklı olmasını tıbbi hataları önlemede daha etkili bulmuşlardır. Tıbbi hatalara maruz kalma, tıbbi hataların sorumlusu, tıbbi hataların sebebi, tıbbi hatalar konusunda duyum, tıbbi hatalar konusunda bilgi ve farkındalık düzeyi, tıbbi hatalardan sorumlu tutulması gereken kişiler, tıbbi hatalar ile ilgili konuların önlenebilirliği, uygulanabilirliği ve hastanelerde yeterliliği konuları incelenmiş hasta ve sağlık çalışanlarının hizmet aldıkları hastaneler ve sağlık çalışanlarının görev türlerine göre farklılıklar olduğu görülmüştür.

Instruments for measuring patient safety competencies in nursing: a scoping review

BackgroundPatient safety competencies in nursing are essential for the quality of healthcare. To develop practices and collaboration in nursing care, valid instruments that measure competencies in patient safety are needed.ObjectiveTo...

Patient Safety Attitudes among Doctors and Nurses: Associations with Workload, Adverse Events, Experience.

Patient safety concept has achieved more attention from healthcare organizations to improve the safety culture. This study aimed to investigate patient safety attitudes among doctors and nurses and explore associations between workload, adverse events, and experience with patient safety attitudes. The study used a descriptive cross-sectional design and the Turkish version of the Safety Attitudes Questionnaire. Participants included 73 doctors and 246 nurses working in two private hospitals in Northern Cyprus. The participants had negative perceptions in all patient safety domains. The work conditions domain received the highest positive perception rate, and the safety climate domain received the lowest perception rate among the participants. Nurses showed a higher positive perception than doctors regarding job satisfaction, stress recognition, and perceptions of management domains. There were statistically significant differences between experiences, workloads, adverse events, and total mean scores of patient safety attitudes. Policymakers and directors can improve the quality of care of patients and patient safety by boosting the decision-making of health care providers on several domains of safety attitudes. Patient safety needs to be improved in hospitals through in-service education, management support, and institutional regulations.

Job Satisfaction and Patient Safety Attitudes among Nurses of Faisalabad, Pakistan

Background: The purpose of the study was to assess the association between job satisfaction and patient safety attitudes among nurses of Faisalabad, Pakistan. Materials and Methods: This is a cross-sectional study conducted in February to May 2021, on the nurses working in two Public hospitals in Faisalabad. A total of 300 nurses participated in the study. The main questionnaire based on the socio-demographic questionnaire comprises of the age, gender, qualification and work experience. Other than this, two questionaire were opted to collect data. One was on job satisfaction questionnaire was developed by Nicholas in 2007 the scale has the 6 dimensions including Coworkers, work demands, work content, work load, work skills and rewards. The other was patient safety attitude questionnaire comprised on six subscales, and additional items on demographic information (Kristensen, Sabroe, Bartels, Mainz &amp; Christensen, 2015). Results: Majority of the nurses were having fatigue impairs while performing emergency situations. Very less participants shares that they were satisfies with the supervision offered to them during provision of the care. The mean score was towards poor conditions. The mean score of the components was less then 3.8 which is towards the dissatisfaction. There was a relationship between educational status and years of experience. Among the lower educational levels the nurses were more satisfied with the job and display more patient safety attitude. Additionally, nurses with more years of experience has less patient safety attitude than other groups of the participants. There was a strong positive relationship between the job satisfaction and patient safety attitudes among the nurses. Conclusions: There was a strong positive relationship between the job satisfaction and patient safety attitudes among the nurses. Hence, senior clinical nursing personals can significantly improve the patient safety implementation of nurses hence, it is suggested that they should take active part in the implementation of the patient safety protocols. Poor team work was the biggest issue in the low levels of job satisfaction. It is necessary to take steps in reducing the absenteeism and uplifting the image of nurses in the team work.

Effectiveness of educational interventions to develop patient safety knowledge, skills, behaviours and attitudes in undergraduate nursing students: a systematic review protocol

IntroductionPatient safety is a healthcare discipline that aims to prevent and reduce patient harm, risks and errors during the provision of healthcare. Given the size of the nursing workforce in...

Patient safety attitude among healthcare workers at different levels of healthcare in Sharqia Governorate, Egypt.

BackgroundPatient safety (PS) has been identified as a significant healthcare challenge. A good safety attitude helps healthcare workers (HCWs) to decrease medical errors.AimThis study aimed to assess the PS attitude and identify its determinants among HCWs.SettingThis study was conducted in Sharqia Governorate at different levels of health care.MethodsThis was a comparative cross-sectional study that involved240 HCWs selected after using a multistage cluster sampling technique from Sharqia Governorate.In ordertto assess the respondents’ attitudes towards PS, the modified Chinese Safety Attitudes Questionnaire (CSAQ) was used.ResultsThe scale with the highest percentage of positive responses, on average, was safety climate (49.59%). The study found a statistically significant association between the level of health care and mean scores of ‘teamwork climate, perception of management, job satisfaction, working conditions, and stress recognition’ and the overall CSAQ score. In regression analysis, the highest degree of education and job type were significant predictors of PS attitude among the HCWs under study (p = 0.031 and 0.011, respectively).ConclusionAccording to the study’s findings, PS is low among HCWs in both healthcare units and hospitals, with a significantly higher score among hospital workers than among primary care workers. All PS composites need improvement starting with regular assessment of PS culture along with continuous monitoring.

Patient safety awareness, knowledge and attitude about fire risk assessment during time-out among perioperative nurses inKorea.

AimThis study aims to investigate the relationship between patient safety awareness, knowledge (risk‐Knowledge) and attitude about fire risk assessment during time‐out (risk‐Attitude) of perioperative nurses.DesignA cross‐sectional study.MethodsPerioperative nurses (N = 158) from 22 small‐ and medium‐sized hospitals participated in the study. Participants’ characteristics, knowledge and attitude about fire risk assessment were investigated using structured questionnaires.ResultsPatient safety awareness, risk‐Knowledge and risk‐Attitude scores were high among nurses who received frequent patient safety education or fire preparedness training, while patient safety awareness partially mediated the effect of risk‐Knowledge on risk‐Attitude. To increase perioperative nurses’ risk‐Attitude, it would be effective to increase not only their risk‐Knowledge but also overall patient safety awareness.

Assessment of Patient Safety Attitude Levels Among Healthcare Professionals Working in the Operating Room

Assessment of Patient Safety Attitude Levels Among Healthcare Professionals Working in the Operating Room

Effect of Attitude of Patient Safety and Confidence in Safety Nursing on Patient Safety Management Activity in Nursing Students

보건의료현장에 종사하는 의료인 뿐 아니라 예비의료인에 대한 환자안전관리 교육과 실천의 중요성이 강조되는 시점에 간호대학생의 환자안전에 대한 태도, 안전간호 수행자신감, 환자안전관리 실천 정도와 각 변인 간 상관관계를 파악하고 환자안전관리 실천에 영향을 미치는 요인을 확인함으로써 간호대학생의 안전간호 수행역량을 강화하고 환자안전관리 실천을 강화할 수 있는 교육프로그램의 기초자료를 제시하고자 본 연구를 시도하였다. 연구대상은 G도에 소재한 2개 간호대학에 재학 중이며 임상실습 경험이 있는 3, 4학년 학생으로, 자료 수집은 2019년 11월 25일부터 12월 13일까지였다. 총 235부의 자료가 회수되었으나 불성실한 답변을 한 자료를 제외하고 최종 분석에 사용된 자료는 221부이다. 수집된 자료는 SPSS Win 28.0 통계 프로그램을 이용하여 빈도, 백분율, 평균, 표준편차, t-test, Pearson s Correlation Coefficients, Multiple Regression으로 분석하였다. 도구의 신뢰도는 Cronbach s α를 이용하여 분석하였다. 연구결과, 대상자의 환자안전에 대한 태도는 5점 만점에 평균 3.84점, 안전간호 수행자신감은 4.36점, 환자안전관리 실천은 4.28점이었다. 대상자의 일반적 특성에 따른 환자안전에 대한 태도, 안전간호 수행자신감 및 환자안전관리 실천의 차이를 분석한 결과 전공만족도(t=5.27, p<.001)와 임상실습만족도(t=2.49, p=.013)에 따라 환자안전에 대한 태도에 유의한 차이가 있었고, 성별(t=2.49, p=.013), 전공만족도(t=2.49, p=.013), 안전교육경험(t=2.39, p=.018)에 따라 안전간호 수행자신감에 유의한 차이가 있었다. 또 환자안전관리 실천은 성별(t=2.07, p=.039)에 따라 유의한 차이가 있는 것으로 나타났다. 환자안전에 대한 태도는 안전간호 수행자신감(r=.556, p<.001), 환자안전관리 실천((r=.418, p<.001)과 유의한 양의 상관관계가 있었고, 안전간호 수행자신감은 환자안전관리 실천과 유의한 양의 상관관계가 있는 것으로 나타났다(r=.445, p<.001). 간호대학생의 환자안전관리 실천에 영향을 미치는 요인을 파악하기 위해 다중회귀분석을 실시한 결과 안전간호 수행자신감(β=0.29, p<.001), 환자안전에 대한 태도(β=0.25, p<.001)가 영향요인으로 나타났고 설명력은 23.5%였다. 이상의 연구결과를 통해 간호대학생의 환자안전에 대한 태도가 바람직하고 안전간호 수행자신감이 높을수록 환자안전관리 실천 정도가 높음을 알 수 있었다. 연구결과를 바탕으로 간호대학생의 환자안전관리 실천을 증진시킬 수 있는 통합적이고 체계적인 간호교육 프로그램개발의 필요성을 제시하였으며, 이를 통해 환자안전관리 강화를 위한 간호교육 개선은 물론이고 환자의 안전과 권리를 보장하는데 기여할 것으로 기대된다.

종합병원 간호사의 환자안전문화 인식이 환자안전간호 활동에 미치는 영향

Purpose: This study aimed to identify the relationships between patient safety culture perception and patient safety care activities, and address the factors influencing patient safety care activities. Methods: Participants comprised 247 nurses working at three general hospitals located in the Changwon, South Korea area. Self-questionnaires were used to collect the data, and were administered between January 25 and 31, 2018. Data were analyzed using descriptive statistics, t-tests, Pearson''s correlation coefficients, and multiple regression analysis with SPSS/WIN 21.0 software. Results: There were significant positive relationships between patient safety culture perception and patient safety care activities (r=.57, p<.001). Factors influencing patient safety care activities among the participants were identified as patient safety knowledge and attitude (β=.20, ρ=.006), working in a non-punitive environment (β=.18, ρ=.007), and age (β=.15, ρ=.040). The explanation power of the regression model was 35.8%. Conclusion: The results suggest that to enhance patient safety care activities, it is necessary to improve nursing education concerning patient safety knowledge and attitude, especially considering age. In addition, a nurses will benefit from working in a non-punitive environment.

The relationship between attitude of nurses toward the patient safety and missed nursing care: A predictive study

BackgroundPositive attitude of nurses toward patient safety can play a major role in increasing the quality of nursing care and reducing missed nursing care. This study was conducted to determine the relationship between the Attitude of Nurses Toward Patient Safety and missed nursing care. MethodsThis study was conducted in 2021 at the hospitals of Tabriz University of Medical Sciences (Iran). In the present study, 351 nurses were included in the study by using a stratified random sampling method. Data collection tools were demographic questionnaire, missed nursing care questionnaire, and patient safety attitudes questionnaire. Missed Nursing Care Questionnaire includes 24 items, such as patient movement, rotation, evaluation, training, discharge planning, medication prescription, scored on a 4-point Likert scale ranging from score 1 (I miss rarely), score 2 (I miss occasionally), score 3 (I miss usually), and score 4 (I miss always). The highest score is 96 and the lowest score is 24 on this scale. A higher score indicates a higher possibility of missed care. ResultsThe mean total (standard deviation) of missed nursing care was 32.76 (7.13) (score range: 24–96) and the mean total score of nurses’ patient safety attitudes was 53.19 (18.71) out of 100. Results of the present study showed that nurses’ patient safety attitudes are at a moderate level and have a significant inverse relationship with the incidence of missed nursing care (P<0.001). ConclusionAccording to the results and given the relationship between patient safety attitudes and missed nursing care, it is essential to use individual and organizational interventions to increase patient safety attitudes in various dimensions in nurses and consequently to reduce missed nursing care and improve the quality of healthcare.

Patient safety awareness and attitude among interns of a tertiary care hospital.

To assess the knowledge, behaviours and attitudes towards Patient Safety (PS) among interns of a tertiary care hospital, a cross sectional survey was conducted among 126 interns of Combined Military Hospital, Lahore (CMH Lhr), using Questionnaire (APSQ -4) in December 2019. Statistical analysis was done on SPSS 23. The interns exhibited good PS knowledge. The highest response was evident for "Attitude to Medical Error Reporting" domain (53.34±7.62) followed by "PS Knowledge" (50.88±6.85) with lowest response for "Attitude to PS Skills" domain (Mean = 16.34 ± 3.46). Independent Sample T Tests for comparison of mean responses of civilian and military interns revealed significant difference for PS Attitude to PS Training only, T Test (df)1.940 (124) p-value = 0.055. PS knowledge exists among the interns with limited training and practices. Medical educationists and supervisors should incorporate PS culture in junior doctors through rigorous training.

Patient safety attitudes of frontline healthcare workers in Lahore: A multicenter study.

ABSTRACTObjectives:To evaluate patient safety attitudes of the frontline health workers in hospitals of Lahore, Pakistan.Methods:A self-administered Safety Attitudes Questionnaire (SAQ) survey was deployed in five hospitals across Lahore, Pakistan (July 2019 to June 2020). A total of 1250 consecutive consenting nurses and postgraduate trainee physicians of under five years working experience were recruited. Assessment for each of the six subdomains (teamwork climate, safety climate, job satisfaction, stress recognition, perception of management, working conditions) was done on a 0-100 scale. Multivariate analyses examined their relationship with job cadre (nurses and physicians), duration of respondents’ work experience (< 2 years, 3 - 4 years, > 4 years), and hospital sector (private and public).Results:The response rate was 97% (1212 individuals; 765 nurses, 447 physicians). Nurses scored less than physicians in teamwork climate (-2.4, 95% CI -4.5 – -0.2, p=0.02) and stress recognition (-10.6, 95% CI -13.5 – -7.7, p<0.001), but more in perception of management (4.2, 95% CI 1.5 – 6.8, p=0.002) and working conditions (3.4, 95% CI 0.66 – 6.2, p=0.01). Increasing work experience was related to greater scores in all subdomains. Private hospitals scored generally higher than public ones.Conclusion:Duration of job experience was positively correlated with patient safety attitudes of hospital staff. These finding could serve as the baseline to shape staff perceptions by cadre in both public and private sector hospitals.

Patient safety attitudes in the next generation of healthcare providers. A review of the literature

Abstract Background A comprehensive understanding of the attitudes towards patient safety of the new generation of healthcare workers is fundamental not only for ensuring safe, high-quality care in the present but also for creating a safer healthcare setting in the future. This study aimed to systematically review the literature on patient safety attitudes of health professional students, new graduates, newly registered health professionals, and resident trainees, and to examine potential differences in this population with respect to year of study, specialty, and gender. Methods We searched four databases (i.e., PubMed, Web of Science, Scopus, and PsycInfo) up to 20/02/2020 and screened also additional sources, including weekly, automatic e-mailed search alerts up to 18/10/2020. Two reviewers independently performed all methodological steps (i.e., search, study selection, quality appraisal, data extraction and formal narrative synthesis), including a third reviewer in case of disagreement. Results We identified 6606 records, assessed 188 full-texts, and included 31 articles. Across studies, healthcare students and young professionals reported more positive patient safety attitudes in certain domains (e.g., teamwork climate, error inevitability, received patient safety training) but showed more negative attitudes in other areas (e.g., management support, safety climate, disclosure responsibility). Women and persons with more years of study and training demonstrated more positive attitudes towards patient safety. Conclusions Healthcare students should receive early curricular education in patient safety to build a solid foundation for the development of a strong and healthy safety culture. Understanding the differences in attitudes between aspiring healthcare providers from different areas is important to tailor teaching and training to the specific needs of certain populations. Key messages According to the reviewed literature, young healthcare students and professionals’ attitudes towards patient safety differed across domains. Institutions should increase education and training on patient safety for aspiring healthcare professionals, tailor them to the specific needs of this population, and monitor attitudes over time.

The Turkish version of the Patient Safety Competency Self-Evaluation Tool: A validity and reliability study

AimTo test the validity and reliability of the Patient Safety Competency Self-Evaluation Tool in Turkish, which was developed to evaluate the patient safety competencies of nursing students. BackgroundIn nursing education, it is crucial to provide students with the necessary professional knowledge and skills as well as appropriate attitudes in certain subjects. It is essential to address frequently encountered problems, to train nurses who can be aware of patient safety and improve the quality of nursing education. A valid and reliable measurement tool is needed to evaluate nursing students' current patient safety knowledge, skills and attitudes and review the curriculum and learning objectives in this context. DesignThis is a validation study with a cross-sectional design. MethodsThe study sample consisted of 417 third and fourth-grade nursing students studying at two universities in Istanbul and volunteered to participate in the research. The study used the Turkish version of the Patient Safety Competency Self-Evaluation Tool was used for data collection. Content validity, construct validity, stability and reliability tests were performed. Data were analyzed using SPSS and AMOS programs. Ethics committee approval and permission from the institutions were obtained. ResultsNursing students’ mean age was 21.98 (SD = 1.17). The Scope Validity Index of the scale was calculated as 0.97. As a result of the confirmatory factor analysis performed in the original structure consisting of three dimensions, 12 factors and 41 items, it was found that all items were in the sub-dimensions of the original scale and factor loads were between 0.168 and 0.918. Four models were tested in confirmatory factor analysis and Model 4 had the best-fit indices. They were calculated as: χ2/df = 2.38, RMSEA = 0.06 and CFI = 0.91 for Model 4. Cronbach's alpha value of the total scale was 0.941 and ranged between 0.642 and 0.932 in its sub-dimensions. ConclusionThe Turkish version of the Patient Safety Competency Self-Evaluation Tool is valid and reliable to measure nursing students’ patient safety competencies.

한국과 태국 군병원 간호장교의 환자안전 지식, 태도, 수행 비교

Purpose: The purpose of this study was to compare patient safety knowledge, attitude, and skills between the Republic of Korea and Thailand nursing officers. Methods: Data were collected from 104 Korean nursing officers and 106 Thai nursing officers using structured questionnaires, patient safety knowledge, attitude and skills. Results: The proportion of men in Korean nursing officers were higher than that of Thai nursing officers, and Thai nursing officers had longer work experience than Koreans. The ROK nursing officer''s patient safety knowledge score was significantly higher than Thai''s (t=5.38, p<.001). However there was no difference between them in patient safety attitude and skills scores. Both countries had no difference in patient safety knowledge, attitude, and skills according to general characteristics. Conclusion: Nursing officers of the two countries had similar levels of patient safety knowledge, attitudes, and skills. However, in order to understand the gaps in patient safety culture, policy, and education programs between them, the two parties need to exchange information and benchmark with each other to strengthen their nurses'' competence in patient care.

Attitude of Patient Safety and Awareness of Standard Precautions for Healthcare Associated Infection Control in Senior Nursing Students

Attitude of Patient Safety and Awareness of Standard Precautions for Healthcare Associated Infection Control in Senior Nursing Students

The effect of the COVID-19 pandemic on the patient safety attitude of medical students.

PurposeThis study aimed to examine the differences in scores of the Attitude to Patient Safety Questionnaire (APSQ) by medical students before and after the outbreak of COVID-19.MethodsIn total, 97 and 118 medical students completed patient safety courses at Yonsei University Wonju College of Medicine in 2019 and 2020, respectively. In 2019, the course was conducted using traditional learning in the classroom, whereas, in 2020, most of the classes were conducted using non-face-to-face learning methods.ResultsIn 2019 and 2020, 49 and 53 students responded to the APSQ. Only one item “Patients are not really aware of how safe their care is” had a lower score in 2020 than in 2019.ConclusionAlthough the total APSQ score did not differ between 2019 and 2020, the students in 2020 might have a poor understanding of the role of patients in medical errors.

The Relationship Between Organizational Stress Levels and Patient Safety Attitudes in Operating Room Staff

PurposeThe aim of this study was to determine the relationship between organizational stress levels and patient safety attitudes in operating room (OR) staff. DesignThe study was conducted using a descriptive correlational research method. MethodsThe study sample was made up of 164 OR staff (38 surgeons, 32 anesthetists, 46 nurses, and 48 anesthetic technicians/OR support staff) at a university hospital. The data were collected with a Personal Information Form, the Organizational Stress Scale, and the Safety Attitudes Questionnaire—Operating Room (SAQ-OR) version. FindingsThe most important factor affecting organizational stress was sources of stress related to financial means, whereas the most important factor affecting patient safety attitudes was teamwork climate. Sources of stress related to the nature of the work performed and to management were higher in surgeons; mean scores in the subdimension of stress sources related to financial means were higher in nurses; whereas, total scores in the SAQ-OR version and mean scores in the subdimensions of perceptions of management, working conditions, and stress recognition were higher in anesthetic technicians/OR support staff. A statistically significant weak negative correlation was found between the Organizational Stress Scale and the SAQ-OR version. ConclusionsIn this study, as organizational stress levels of OR staff increased, patient safety attitudes were negatively affected. To improve patient safety attitudes of OR staff, it is recommended that work environments that reduce organizational stress are created.